HIV & TB HESI CASE STUDYWITH 50 QUESTIONS
AND 100% CORRECT AND VERIFIED ANSWERS
QUESTION: The UAP asks why Raymond could not be in an empty semiprivate room closer to
the nurse's station so the staff would not have to walk so far to provide care. What information
should the nurse provide to the UAP on infection control practices?
ANSWER-The implementation of airborne precautions for possible TB requires a private,
negative pressure room assignment.
QUESTION: The nurse notices the UAP about to enter Raymond's room to deliver a meal tray
w/out wearing any protective apparel. What info should the nurse provide to the UAP?
ANSWER-A mask is required for HC workers entering the room of someone suspected of
having active TB.
QUESTION: An acid-fast bacilli (AFB) stain is part of the initial prescriptions. Early morning
sputum specimens will be collected for 3 consecutive days and sent to the lab. Which tasks may
the nurse delegate to the UAP?
, ANSWER-- Have the UAP tell Raymond that the specimen must be collected in the early
morning
- Provide Raymond w/ 3 sterile specimen cups at his bedside
- Document the time and date that each sputum specimen was collected
QUESTION: Raymond is scheduled for several activities the following morning. Which activity
should Raymond perform 1st upon awakening?
ANSWER-Obtain the 1st of 3 sputum specimens for lab testing
QUESTION: An LPN says to the nurse who is making assignments, "I do not want to be
assigned to care for Raymond. I have never cared for a client w/ HIV and do not want to start
now. I have a family at home that needs me". Which info should the nurse base a response about
the LPN's right to refuse care for a client w/ HIV?
ANSWER-The LPN may refuse to care for a client in circumstances in which risk to the nurse
outweighs the nurse's responsibility to care for a client, or if the assignment conflicts w/ the
nurse's ethical standards
AND 100% CORRECT AND VERIFIED ANSWERS
QUESTION: The UAP asks why Raymond could not be in an empty semiprivate room closer to
the nurse's station so the staff would not have to walk so far to provide care. What information
should the nurse provide to the UAP on infection control practices?
ANSWER-The implementation of airborne precautions for possible TB requires a private,
negative pressure room assignment.
QUESTION: The nurse notices the UAP about to enter Raymond's room to deliver a meal tray
w/out wearing any protective apparel. What info should the nurse provide to the UAP?
ANSWER-A mask is required for HC workers entering the room of someone suspected of
having active TB.
QUESTION: An acid-fast bacilli (AFB) stain is part of the initial prescriptions. Early morning
sputum specimens will be collected for 3 consecutive days and sent to the lab. Which tasks may
the nurse delegate to the UAP?
, ANSWER-- Have the UAP tell Raymond that the specimen must be collected in the early
morning
- Provide Raymond w/ 3 sterile specimen cups at his bedside
- Document the time and date that each sputum specimen was collected
QUESTION: Raymond is scheduled for several activities the following morning. Which activity
should Raymond perform 1st upon awakening?
ANSWER-Obtain the 1st of 3 sputum specimens for lab testing
QUESTION: An LPN says to the nurse who is making assignments, "I do not want to be
assigned to care for Raymond. I have never cared for a client w/ HIV and do not want to start
now. I have a family at home that needs me". Which info should the nurse base a response about
the LPN's right to refuse care for a client w/ HIV?
ANSWER-The LPN may refuse to care for a client in circumstances in which risk to the nurse
outweighs the nurse's responsibility to care for a client, or if the assignment conflicts w/ the
nurse's ethical standards
